After studying Module 2: Lecture Materials & Resources, discuss the following:

In what sense are the mean, median, mode, and midrange measures of “center”? Post your own statistical study in which you can calculate the different approaches of each. 

**should be at least 200 words/numbers or a combination of both,  APA style,2 academic sources***

Turn it in report needed no  AI ** price firm*

List strategies that might be used by a pediatric primary care provider to incorporate developmental anticipatory guidance into the following sick visits:

1. An 18-month-old with an acute upper respiratory infection
2. A 4-year-old with stool withholding and constipation
3. A 9-year-old with chronic headaches
4. A 15-year-old with dysmenorrhea.

Submission Instructions:

• Your initial post should be at least 500 words, formatted and cited in current APA style with support from at least 2 academic sources published within the last five years. 

4-5 pages

 Case Study:  

Walden University. (2021). Case study: Sherman Tremaine. Walden University Canvas. https://waldenu.instructure.com 

 

Develop a focused SOAP note, including your differential diagnosis and critical-thinking process to formulate a primary diagnosis. Incorporate the following into your responses in the template:

• Subjective: What details did the patient provide regarding their chief complaint and symptomology to derive your differential diagnosis? What is the duration and severity of their symptoms? How are their symptoms impacting their functioning in life? 
• Objective: What observations did you make during the psychiatric assessment?  
• Assessment: Discuss the patient’s mental status examination results. What were your differential diagnoses? Provide a minimum of three possible diagnoses with supporting evidence, and list them in order from highest priority to lowest priority. Compare the DSM-5-TR diagnostic criteria for each differential diagnosis and explain what DSM-5-TR criteria rules out the differential diagnosis to find an accurate diagnosis. Explain the critical-thinking process that led you to the primary diagnosis you selected. Include pertinent positives and pertinent negatives for the specific patient case.
• Plan: What is your plan for psychotherapy? What is your plan for treatment and management, including alternative therapies? Include pharmacologic and nonpharmacologic treatments, alternative therapies, and follow-up parameters, as well as a rationale for this treatment and management plan. Also incorporate one health promotion activity and one patient education strategy.
• Reflection notes: What would you do differently with this patient if you could conduct the session again? Discuss what your next intervention would be if you were able to follow up with this patient. Also include in your reflection a discussion related to legal/ethical considerations (demonstrate critical thinking beyond confidentiality and consent for treatment!), health promotion, and disease prevention, taking into consideration patient factors (such as age, ethnic group, etc.), PMH, and other risk factors (e.g., socioeconomic, cultural background, etc.).
• Provide at least three evidence-based, peer-reviewed journal articles or evidenced-based guidelines that relate to this case to support your diagnostics and differential diagnoses. Be sure they are current (no more than 5 years old).

• Boland, R. Verdiun, M. L. & Ruiz, P. (2022). Kaplan & Sadock’s synopsis of psychiatry (12th ed.). Wolters Kluwer. 
  • Chapter 2, “Neurodevelopmental Disorders and Other Childhood Disorders” 
    • Section 2.16,  “Early-Onset Schizophrenia” (pp. 207-210)
  • Chapter 5, “Schizophrenia Spectrum and Other Psychotic Disorders”
• Thapar, A., Pine, D. S., Leckman, J. F., Scott, S., Snowling, M. J., & Taylor, E. A. (Eds.). (2015). Rutter’s child and adolescent psychiatry (6th ed.). Wiley Blackwell.  
  • Chapter 43, “Pharmacological, Medically-Led and Related Disorders”
  • Chapter 57, “Schizophrenia and Psychosis”
• Zakhari, R. (2021). The psychiatric-mental health nurse practitioner certification review manual. Springer Publishing Company.
  • Chapter 9, “Psychotic Disorders and Delusions”